The intersection of intimate partner violence and substance use among women with opioid use disorder
The intersection of intimate partner violence and substance use among women with opioid use disorder
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DOI：
10.1080/08897077.2019.1671296
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发表时间：
2019-10-18
期刊：
影响因子：
3.5
通讯作者：
Krans, Elizabeth E.
中科院分区：
文献类型：
--
作者：
Pallatino, Chelsea;Chang, Judy C.;Krans, Elizabeth E.
背景资料：阿片类药物使用障碍（OUD）的妇女报告亲密伴侣暴力（IPV）的发生率很高，并且对IPV如何影响OUD妇女的物质使用行为的了解有限。研究方法：半结构化的定性访谈进行了一项正在进行的临床试验，评估产后避孕药的使用模式，为这一人群的样本40名妇女OUD参与。采访录音，逐字转录，持续约45？面试问题集中在女性身上？的看法和经验与IPV以及这些经验如何影响他们的物质使用行为。转录本在Atlas.ti中独立编码，并使用一般定性调查方法对新兴主题进行定性分析。结果：参与者年龄为24岁？29岁，大多数是白色人，单身，失业，有医疗补助保险和高中学历。虽然个人IPV的经验是没有必要选择这个定性的子研究，所有的参与者都报告了一些IPV的终身经验。四个首要的主题出现：（1）妇女归因于物理IPV他们的合作伙伴？物质使用;（2）情感虐待阻碍了女性全面参与康复;（3）经济虐待阻碍了女性从虐待伴侣中获得独立;（4）女性通过使用药物来应对IPV经历。结论：IPV对女性有显著影响。的物质使用行为，包括他们的复发和治疗中断的感知风险。这些研究结果表明，需要将IPV的评估，评价和管理纳入物质使用治疗环境。
Background: Women with opioid use disorder (OUD) report high rates of intimate partner violence (IPV) and there is limited understanding of how IPV influences substance use behaviors among women with OUD. Methods: Semi-structured qualitative interviews were conducted with a sample of 40 women with OUD participating in an ongoing clinical trial evaluating postpartum contraceptive utilization patterns for this population. Interviews were audio-recorded, transcribed verbatim and lasted approximately 45?min. Interview questions focused on women?s perceptions and experiences with IPV and how these experiences impacted their substance use behaviors. Transcripts were coded independently in Atlas.ti and qualitatively analyzed using a general qualitative inquiry approach for emerging themes. Results: Participants were aged 24?29, and the majority were white, single, unemployed, had Medicaid insurance and a high school degree. Although personal IPV experiences were not necessary to be selected for this qualitative sub-study, all participants reported some lifetime experience with IPV. Four overarching themes emerged: (1) women attributed physical IPV to their partner?s substance use; (2) emotional abuse prevented women from fully engaging in their recovery; (3) financial abuse prevented women from gaining independence from abusive partners; and (4) women coped with IPV experiences through substance use. Conclusions: IPV had a significant influence on women?s substance use behaviors including their perceived risk of relapse and treatment discontinuation. These findings demonstrate the need to integrate assessment, evaluation and management of IPV into substance use treatment settings.